Provider Demographics
NPI:1720358203
Name:HOBBS, LUCAS LEON (MED)
Entity Type:Individual
Prefix:
First Name:LUCAS
Middle Name:LEON
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:OK
Mailing Address - Zip Code:73062-0488
Mailing Address - Country:US
Mailing Address - Phone:580-819-2980
Mailing Address - Fax:
Practice Address - Street 1:319 MAIN
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:OK
Practice Address - Zip Code:73062
Practice Address - Country:US
Practice Address - Phone:580-819-2980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor